A small hiatus hernia with a lax lower oesophageal sphincter at 14 does not need surgery. His burping, regurgitation and cramps are reflux from that loose valve, and it responds well to medicines plus posture and diet changes. Omeprazole or pantoprazole before breakfast for 6-8 weeks, small frequent meals, no lying down for 2-3 hours after eating, head end of the bed raised, and cutting out fried food, colas and late dinners usually settles it. Surgery comes into the picture only if reflux stays severe despite full treatment, or if he develops difficulty swallowing, food sticking, vomiting blood, black stools or weight loss - those need urgent review.

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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

Yes

Need Surgery,as management better consult surgeon they do this Roen y cut surgery,consume meals little by little frequency increase like 3-5times u may delvelop dumping syndrome...after surgery.. better take SYP GAVISCON 5ML -5ML-5ML BEFORE FOOD AND TAKE SURGEON OPINION..STOP TEA COFFE BEVARAGES , COMPLETELY FOR PREVENTION OF FURTHER COMPLICATIONS

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Need a few more details please consult for further evaluation and treatment

Need few more details for further evaluation. Please consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management